Supportive care needs, quality of life and social support among laryngeal cancer patients undergoing total laryngectomy: a cohort study

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Abstract Background This study examines changes in supportive care needs, quality of life and social support among laryngeal cancer patients following total laryngectomy. Methods Ninety-nine patients were assessed pre-operatively (T0), one (T1), three (T2) and six months (T3) post-total laryngectomy using SCNS-SF34, FACT-H&N and PSSS. Statistical analysis included repeated-measures analysis of variance and paired t-tests. Results Unmet needs increased significantly over time in physical/daily (46.46 per cent →86.87 per cent), psychological (60.61 per cent →93.94 per cent), patient care (83.84 per cent →97.98 per cent) and health system domains (85.86 per cent →96.97 per cent), while sexual needs remained low. SCNS-SF34 scores rose (113.03→145.25; p < 0.001), FACT-H&N declined (97.17→75.19; p < 0.001) and PSSS decreased (55.48→41.99; p < 0.001), with family support most affected. All scales showed significant timepoint differences ( p < 0.05). Notably, none of the patients underwent voice function restoration surgery during the study follow-up period, which may have amplified voice-related impacts on these outcomes. Conclusion Following total laryngectomy, laryngeal cancer patients experience escalating supportive care needs, alongside significant declines in quality of life and social support—with family support particularly affected by caregiving burdens.

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